Coronary artery calcification is a marker of atherosclerosis. Detectio
n and quantification has previously been accomplished with electron-be
am computed tomography (CT). Use of spiral CT for this application has
been limited by cardiac motion. The authors evaluated a retrospective
cardiac-gated postprocessing technique that necessitates no modificat
ion of scanner hardware or software. At spiral CT in 26 patients, moti
on artifact was reduced, coronary arteries were consistently visualize
d, and quantification of calcification could be performed in those pat
ients with prominent deposits. Coronary artery calcification screening
can therefore be offered in sites that have access to only spiral CT.